Olds' Maternal-Newborn Nursing & Women's Health
A nurse in the clinic determines that a 4-day-old neonate who was born at home has a purulent
discharge from the eyes. What condition does the nurse suspect? - ANSWER-Chlamydia
trachomatis infection
A nurse determines that a 1-day-old newborn has a heart rate of 138 beats/min. What is the best
nursing action at this time? - ANSWER-Documenting the heart rate
An infant is born with a bilateral cleft palate. Plans are made to begin reconstruction
immediately. What nursing intervention should be included to promote parent-infant attachment?
- ANSWER-Demonstrating positive acceptance of the infant
On the second day of life, minutes after drinking 2½ ounces of formula, a newborn regurgitates
about half an ounce. The mother remarks, "My baby spits up after every feeding." What should
the nurse do next? - ANSWER-Suggest that she hold her baby upright for 30 minutes after
feeding
A 15-year-old emancipated minor gave birth to a boy 36 hours ago and has requested a
circumcision. What is the nurse's priority? - ANSWER-Getting an informed consent signed by
the mother of the baby
A nurse decides on a teaching plan for a new mother and her infant. What should the plan
include? - ANSWER-A demonstration and explanation of infant care
During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. What is the
priority nursing intervention for the newborn? - ANSWER-Suctioning the airway
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The neonate
begins to choke on mucus. How should the nurse suction him with a bulb syringe? - ANSWER-
By suctioning the mouth before the nostrils
, Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is labeled "1 mL = 2 mg." How
many milliliters should the nurse administer? Include a leading zero if applicable. Record your
answer using two decimal places. _____ mL - ANSWER-0.25
The nurse is caring for a couple after the birth of their first child. What should the nurse tell the
family to do when their infant is exhibiting the behavior demonstrated in the picture? -
ANSWER-"This is the time when the baby is likely to be most responsive to you."
The mother of a newborn son tells the nurse that she is concerned about circumcision because of
the pain involved. What is the nurse's best response? - ANSWER-"The health care provider will
tell you how your baby's pain will be controlled."
What is the nurse's initial action immediately after assisting with a precipitous birth in the triage
area of the emergency department? - ANSWER-Warming the newborn
During the second reactive period a newborn becomes more alert and responsive and there is an
increase in mucus production and gagging. What should the nurse do first? - ANSWER-Remove
secretions from the pharynx
While inspecting her newborn a mother asks the nurse whether her baby has flat feet. How
should the nurse respond? - ANSWER-"Infants' feet appear flat because the arch is covered with
a fat pad."
How should the nurse assess a newborn's grasp reflex? - ANSWER-By pressing the examining
fingers against the palms of the newborn's hands
A nurse teaches a new mother about neonatal weight loss in the first 3 days of life. What does the
nurse explain is the cause of this weight loss? - ANSWER-Excretion of accumulated excess
fluids
During labor a client states that she does not want eyedrops or ointment placed in her baby's eyes
immediately after birth. How should the nurse respond? - ANSWER-"Let's talk about why you
don't want the medicine to be put into your baby's eyes."
A nurse in the clinic determines that a 4-day-old neonate who was born at home has a purulent
discharge from the eyes. What condition does the nurse suspect? - ANSWER-Chlamydia
trachomatis infection
A nurse determines that a 1-day-old newborn has a heart rate of 138 beats/min. What is the best
nursing action at this time? - ANSWER-Documenting the heart rate
An infant is born with a bilateral cleft palate. Plans are made to begin reconstruction
immediately. What nursing intervention should be included to promote parent-infant attachment?
- ANSWER-Demonstrating positive acceptance of the infant
On the second day of life, minutes after drinking 2½ ounces of formula, a newborn regurgitates
about half an ounce. The mother remarks, "My baby spits up after every feeding." What should
the nurse do next? - ANSWER-Suggest that she hold her baby upright for 30 minutes after
feeding
A 15-year-old emancipated minor gave birth to a boy 36 hours ago and has requested a
circumcision. What is the nurse's priority? - ANSWER-Getting an informed consent signed by
the mother of the baby
A nurse decides on a teaching plan for a new mother and her infant. What should the plan
include? - ANSWER-A demonstration and explanation of infant care
During a vertex vaginal birth the nurse notes meconium-stained amniotic fluid. What is the
priority nursing intervention for the newborn? - ANSWER-Suctioning the airway
A 7-lb, 4-oz (3290-g) boy is admitted to the nursery and placed in a warm crib. The neonate
begins to choke on mucus. How should the nurse suction him with a bulb syringe? - ANSWER-
By suctioning the mouth before the nostrils
, Vitamin K 0.5 mg is prescribed for a newborn. The vial on hand is labeled "1 mL = 2 mg." How
many milliliters should the nurse administer? Include a leading zero if applicable. Record your
answer using two decimal places. _____ mL - ANSWER-0.25
The nurse is caring for a couple after the birth of their first child. What should the nurse tell the
family to do when their infant is exhibiting the behavior demonstrated in the picture? -
ANSWER-"This is the time when the baby is likely to be most responsive to you."
The mother of a newborn son tells the nurse that she is concerned about circumcision because of
the pain involved. What is the nurse's best response? - ANSWER-"The health care provider will
tell you how your baby's pain will be controlled."
What is the nurse's initial action immediately after assisting with a precipitous birth in the triage
area of the emergency department? - ANSWER-Warming the newborn
During the second reactive period a newborn becomes more alert and responsive and there is an
increase in mucus production and gagging. What should the nurse do first? - ANSWER-Remove
secretions from the pharynx
While inspecting her newborn a mother asks the nurse whether her baby has flat feet. How
should the nurse respond? - ANSWER-"Infants' feet appear flat because the arch is covered with
a fat pad."
How should the nurse assess a newborn's grasp reflex? - ANSWER-By pressing the examining
fingers against the palms of the newborn's hands
A nurse teaches a new mother about neonatal weight loss in the first 3 days of life. What does the
nurse explain is the cause of this weight loss? - ANSWER-Excretion of accumulated excess
fluids
During labor a client states that she does not want eyedrops or ointment placed in her baby's eyes
immediately after birth. How should the nurse respond? - ANSWER-"Let's talk about why you
don't want the medicine to be put into your baby's eyes."
